15D1038336 CLIA NUMBER - MEIJER PHARMACY 220

Laboratory Demographics

  • CLIA Code: 15D1038336
  • Facility Name: MEIJER PHARMACY 220
  • Facility Address: 4222 CHARLESTOWN RD
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 542-3800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1447521315
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1038336
LAB Type Pharmacy
Facility Name MEIJER PHARMACY 220
Street 4222 CHARLESTOWN RD
City NEW ALBANY
State IN
ZIP 47150
Phone 812 542-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 9/29/2025